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Article History

Accepted: 20 September 2021

First Online: 14 December 2021

Declarations

:

: No sources of funding were used to assist in the preparation of this letter.

: Michael P. Carroll Jr. and Nathaniel Nye declare that they have no conflicts of interest with regard to the content of this letter.

: Not applicable.

: Not applicable.

: Michael P. Carroll Jr. and Nathaniel Nye contributed to the letter conception and design. Material preparation and literature review were performed by both authors. The first draft of the letter was written by Michael P. Carroll Jr and both authors commented on earlier versions of the letter. Both authors read and approved the final manuscript.

: Not applicable.

: Not applicable.

: Not applicable.

: This letter was written by Dr. Michael P. Carroll Jr. and Dr. Nathaniel Nye. The letter is not intended to provide a medical diagnosis or treatment for any individual rider and does not cover all aspects of care that might be needed for the discussed topic. The authors are physicians with the US Department of Defense. The opinions and assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of Defense or any other US government entity. This document was created free of branding or market affiliations. The authors are operating solely as contributors.